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211-00 331 1 I ti &E <br /> Agricultural or Forestry_IShildine.LExemption•Certification <br /> Equine Fatilit*EttemptibitCertifiCatiOn <br /> Marion COtinty-Public Works—Building Inspection Division• <br /> /Varian 5155 Siherron Rd.NI,4;.Salem Oregon. 97305 <br /> Fp <br /> '; collizty •••• . . • . - nowED <br /> PhOoe::.:(50•3)-588, .794' —Bmail:-:buildtimg).coltiario <br /> • <br /> witter is.Reo+tired—.sec:attached information: <br /> ')Dwner/app&ant name A11er Phone: 543,-zst-qivi Emit. 1116&:mtAte,.:41.4 <br /> 0, A Mailing address 3111_4 511,44 .Z.1-11 5, City/state: yeg Zip (3734i-z.. •C' <br /> • <br /> lob site address: l'tt; 177:02- C:ity/State:- .5:4/7e„Th64Z. Lipf/t 77304: <br /> ParceUifomitmon Parcel Size 7.7 ParcelNo one: <br /> Proposed Building information <br /> Describe specific use of the hull-cling aod,itemscon(ained-within F4417 '3041t- Nqetl.) <br /> Buildingbataz.Length:: 1611. Width: I:9 •Area:- ;55. q4 Height: --- <br /> TypebfEkemption: WAgrienituralBuildina. b Forestry-Building b EqUinuFacilitY.(Provide inforniation belbw): <br /> • What i8.theproposed maximum tiumbersof people(including cinployees,oWners,4,,.te:).that willpresent in_tbe <br /> any onelline7- '17 -ke H.„)) \\I <br /> 1; <br /> Willfhik.Sttneture• used by the public at any time? oNes t<No• <br /> II 11 ,c••• 0 2on L, <br /> . 4.7.4e,prppopp4.0gcf.grp,:lpgait4::witbin.u:ilooclp14i0 k t-t • 3 <br /> is the building located nniused in the operation of a farm ee$ o No C3OUN'TY <br /> Is the proposed structure a-residential dwelling or•Marlufaeturedhornel c.1r es •g•No' PUILF)ING `;i`.,\SPF-CTION <br /> •Ia•the'use oftheSthiettire or the:items-within it used for aiiy business or COMMercial aetiV-itiesIJtYes i No <br /> If yes,please.explain: 1›:to,-e4--- <br /> AgrimilturallEonine Exemption:.Criteria—Select allall thztapplvSiZreri15.1*,o- <br /> k Storageimahiterianeci or•repair of machinery;,ecptipment,and;supplies•used.outhis farm <br /> •.51.RaiSitz.harvest-nig,or.selling..crops raised on..this farm <br /> o•Feedirii&bireeditig,Managernent,:or-sale a livegtdck,poultry,.furbearing-aninigist.or-honeybees <br /> • a•Dairying.or the.Salt ofdairkpiroductsiitodueed on thisfarm: <br /> o Other agricultural,hortietiltural oraniin41 husbandry used <br /> 7.2 Stabling,.training,riding lessons,or clinics(CoMplete Fqiiine-Exemption Criteria): <br /> #of.stalls/horses. <br /> 'Pf..T411-siborsessfOr.personal ascot:11y. <br /> 0 of stall.s/horses:used fbr commercial or trade purposes including boarding,training,.rentalk_elinics,.shows,etc. <br /> • Which of the following systemswill the proposed structure have? • • <br /> ElectricalffNoTornOlote Elentrie4i. Critgria). <br /> V/illtberehe etmerete•Slab either within or adiacept to.thebuildine .b.YeS 07No <br /> Wilt there:be•farrn animals(poultry ex:eluded)within the building at any time? °Yes. ie No <br /> Will there.he farm anitnals.(poultry_excluderl)on the,slab 4tJany,riTne? bYes .V.No _ <br /> Will the building he usedfor storage of feed,hay, or straw? !OYes No <br /> thehuilding•he used for mijorrepair of motor hide equipment? ibYes &No <br /> Ideatingtoolingiventilationimeehanical -.kYes•. <br /> Septic ,Dyes. at,No- .(Any yes answer will require-aseparate permit): <br /> Plumbina(Please-specify:fix:tire type) •-tolieS• Na <br /> Page 1 of.5.: <br />